Squamous Cell Carcinoma of the Nail Unit: A Case Report

Q3 Medicine
Vanessa R. Richardson MD , Cole D. Tessendorf MS3 , Elizabeth Helsper MD , Andrew Erie MD , Victoria Durkin MD , Robert Van Demark Jr. MD
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引用次数: 0

Abstract

We report an 83-year-old woman who presented to her primary care provider with pain and swelling of her left thumb distal phalanx for 1 week. Initial imaging was benign. The patient underwent treatment for presumed soft tissue infection with 2 separate oral antibiotic courses. An intralesional corticosteroid injection did not provide relief and repeat radiographs showed a destructive lesion to the tuft of the distal phalanx. Advanced imaging showed bony destruction and biopsy revealed invasive squamous cell carcinoma involving the nail plate with bony invasion. Amputation through the interphalangeal joint of the left thumb was conducted with disease-free margins. The patient currently is following with oncology for clinical surveillance. Given this entity's rarity, either persistent or recurrent nail unit disease must be investigated thoroughly with early referral to a surgical hand specialist as appropriate.
甲单位鳞状细胞癌1例报告
我们报告一个83岁的妇女谁提出了她的初级保健提供者的疼痛和肿胀,她的左手拇指远端指骨1周。最初的影像是良性的。患者接受了2个单独的口服抗生素疗程的软组织感染治疗。病灶内皮质类固醇注射没有提供缓解,重复x线片显示远端指骨丛的破坏性病变。先进的影像显示骨破坏和活检显示侵袭性鳞状细胞癌累及甲板骨侵犯。经左拇指指间关节行无病切除。患者目前正在接受肿瘤学临床监测。鉴于这种实体的罕见性,无论是持续性或复发性指甲单位疾病必须彻底调查,尽早转诊到外科手专科医生。
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来源期刊
CiteScore
1.10
自引率
0.00%
发文量
111
审稿时长
12 weeks
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